Search icon

IDAHO PEDIATRIC THERAPY CLINIC, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: IDAHO PEDIATRIC THERAPY CLINIC, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Dec 2011 (14 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 337673
Place of Formation: IDAHO
File Number: 337673
ZIP code: 83642
County: Ada County
Principal Address: SUITE 303 3071 E FRANKLIN RD MERIDIAN, ID 83642

Member

Name Role Address Appointed On
Samantha Hamilton Member 3071 E FRANKLIN RD, MERIDIAN, ID 83642-2376 2020-11-16

Agent

Name Role Address
ROBERT B ADAMS Agent 3071 E FRANKLIN RD, STE 303, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1194125617

Authorized Person:

Name:
JENNIFER LONGORIA
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2089391122

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006326181 2025-06-23
Amendment to Certificate 0006322487 2025-06-12
Statement of Change of Business Mailing Address 0006002074 2024-12-03
Annual Report 0006002111 2024-12-03
Annual Report 0005500346 2023-12-05

Paycheck Protection Program

Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
129200
Current Approval Amount:
129200
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
130226.52

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State